EMERGENCY MEDICAL SERVICES

KRS tit. XXVI, ch. 311A

in effect

KRS 311A.010 Definitions for chapter

311A.010. Definitions for chapter As used in this chapter, unless the context otherwise requires: (1) "Advanced emergency medical technician" or "AEMT" means a person certified by the board under this chapter as an advanced emergency medical technician; (2) "Advanced practice paramedic" or "APP" means a paramedic licensed by the board under this chapter as a paramedic and certified by the board under this chapter in at least one (1) emergency medical services subspecialty, including community paramedic, critical care paramedic, wilderness paramedic, tactical paramedic, or flight paramedic; (3) "Ambulance" means a vehicle which has been inspected and approved by the board, including a helicopter or fixed-wing aircraft, except vehicles or aircraft operated by the United States government, that are specially designed, constructed, or have been modified or equipped with the intent of using the same, for the purpose of transporting any individual who is sick, injured, or otherwise incapacitated who may require immediate stabilization or continued medical response and intervention during transit or upon arrival at the patient's destination to safeguard the patient's life or physical well-being; (4) "Ambulance provider" or "ambulance service" means any individual or private or public organization, except the United States government, who is licensed by the board to provide medical services that may include transport at either basic life support level or advanced life support level and who may have a vehicle or vehicles, including ground vehicles, helicopters, or fixed-wing aircraft, to provide such transportation; (5) "Board" means the Kentucky Board of Emergency Medical Services; (6) "Community paramedic" or "CP" means an advanced practice paramedic certified under this chapter as a CP; (7) "Emergency medical facility" means a hospital or any other institution licensed by the Cabinet for Health and Family Services that furnishes emergency medical services; (8) "Emergency medical responder" or "EMR" means a person certified under this chapter as an EMR or EMR instructor; (9) "Emergency medical services" or "EMS" means the services utilized in providing care for the perceived individual need for immediate medical care to protect against loss of life, or aggravation of physiological or psychological illness or injury; (10) "Emergency medical services educator" or "EMS educator" means a person who is certified and licensed by the board under this chapter as a Level I, II, or III EMS educator to provide emergency medical services education and training with the scope of practice established by the board through administrative regulations; (11) "Emergency Medical Services for Children Program" or "EMSC Program" means the program established under this chapter; (12) "Emergency medical services medical director" means a physician licensed in Kentucky and certified by the board under this chapter who is employed by, under contract to, or has volunteered to provide supervision for a paramedic or an ambulance service, or both; (13) "Emergency medical services personnel" means: (a) Persons trained to provide emergency medical services and certified or licensed by the board under this chapter as an AEMT, APP, EMR, EMR instructor, EMT, EMT instructor, paramedic, or paramedic instructor; and (b) Authorized emergency medical services medical directors and mobile integrated healthcare program medical directors, whether on a paid or volunteer basis; (14) "Emergency medical services system" means a coordinated system of health-care delivery that responds to the needs of acutely sick and injured adults and children, and includes community education and prevention programs, mobile integrated healthcare programs, centralized access and emergency medical dispatch, communications networks, trained emergency medical services personnel, medical first response, ground and air ambulance services, trauma care systems, mass casualty management, medical direction, and quality control and system evaluation procedures; (15) "Emergency medical services training and education institute" means any organization licensed by the board under this chapter whose sole program of instruction is to provide an emergency medical services training program, other than a licensed ambulance service which provides training, or in-service training in- house for its own employees or volunteers; (16) "Emergency medical services training program" means a program of instruction providing training or education for initial certification, advanced certification, in- service training, or continuing education of emergency medical services personnel, whether through an emergency medical services training and education institute or otherwise; (17) "Emergency medical technician" or "EMT" means a person certified under this chapter as an EMT or EMT instructor; (18) "Executive director" means the executive director of the Kentucky Board of Emergency Medical Services; (19) "Mobile integrated healthcare" or "MIH" means a program licensed by the board under this chapter to provide services including evaluation, advice, and medical care for the purpose of preventing or improving a particular medical condition outside of a hospital setting to eligible patients who do not require or request emergency medical transportation; (20) "Mobile integrated healthcare program medical director" or "MIH program medical director" means a physician licensed in Kentucky and certified by the board under this chapter who is employed by, under contract to, or has volunteered to provide supervision for a licensed MIH program; (21) "Paramedic" means a person who is involved in the delivery of medical services and is licensed under this chapter; (22) "Paramedic preceptor" means a licensed paramedic who supervises a paramedic student during the field portion of the student's training; (23) "Prehospital care" means the provision of emergency medical services, mobile integrated healthcare, or transportation by trained and certified or licensed emergency medical services personnel at the scene or while transporting sick or injured persons to a hospital or other emergency medical facility; and (24) "Trauma" means a single or multisystem life-threatening or limb-threatening injury requiring immediate medical or surgical intervention or treatment to prevent death or permanent disability. Effective: July 15, 2026 History: Amended 2026 Ky. Acts ch. 105, sec. 3, effective July 15, 2026. -- Amended 2024 Ky. Acts ch. 94, sec. 6, effective April 5, 2024. -- Amended 2019 Ky. Acts ch. 100, sec. 1, effective June 27, 2019. -- Amended 2005 Ky. Acts ch. 99, sec. 592, effective June 20, 2005. -- Created 2002 Ky. Acts ch. 211, sec. 1, effective July 15, 2002.

KRS 311A.015 Kentucky Board of Emergency Medical Services -- Members -- Terms -- Quorum -- Procedure -- Removal of members -- Reimbursement -- Annual reports

311A.015. Kentucky Board of Emergency Medical Services -- Members -- Terms -- Quorum -- Procedure -- Removal of members -- Reimbursement -- Annual reports (1) There is hereby created an independent agency of the state government to be known as the Kentucky Board of Emergency Medical Services. (2) The board shall consist of the following members, who shall be residents of Kentucky: (a) One (1) physician licensed in Kentucky who serves as the medical director for an ambulance provider and is board-certified in emergency medicine appointed by the Governor from a list of three (3) physicians submitted by the Kentucky Medical Association or the Kentucky Chapter of the American College of Emergency Physicians; (b) One (1) physician licensed in Kentucky who is routinely involved in the emergency care of ill or injured children appointed by the Governor from a list of three (3) physicians submitted by the Kentucky Medical Association or the Kentucky Chapter of the American College of Emergency Physicians; (c) One (1) local government representative appointed by the Governor from a list of three (3) individuals submitted by the Kentucky League of Cities; (d) One (1) local government representative appointed by the Governor from a list of three (3) individuals submitted by the Kentucky Association of Counties; (e) One (1) licensed or certified emergency medical services field provider who is primarily employed by a hospital-based health care facility appointed by the Governor from a list of three (3) individu als submitted by the Kentucky Hospital Association; (f) One (1) licensed or certified emergency medical services field provider appointed by the Governor from a list of three (3) individuals submitted by the Kentucky Ambulance Providers Association; (g) One (1) licensed or certified emergency medical services field provider appointed by the Governor from a list of three (3) individuals submitted by the Kentucky Professional Fire Fighters; (h) One (1) licensed or certified emergency medical services field pr ovider appointed by the Governor from a list of three (3) individuals submitted by the Kentucky Association of Fire Chiefs; (i) One (1) licensed or certified emergency medical services educator appointed by the Governor; (j) One (1) licensed or certified emergency medical services field provider appointed by the Governor from a list of three (3) air medical transportation providers based in Kentucky submitted by the Kentucky Chapter of the Association of Air Medical Services; (k) One (1) hospital administrator appointed by the Governor from a list of three (3) individuals submitted by the Kentucky Hospital Association; (l) One (1) citizen at large appointed by the Governor who is not associated with or financially interested in the delivery of medical or emergency services; and (m) The secretary of the Cabinet for Health and Family Services or his or her designee. (3) Members shall serve for a term of four (4) years, may be reappointed, and shall serve no more than two (2) consecutive terms. A member appointed to a partial term vacancy exceeding two (2) years shall be deemed to have served a full term. A former member may be reappointed following an absence of at least one (1) term. (4) The board shall: (a) Meet at least six (6) times a year; and (b) At the first meeting of the board after September 1 of each year, elect a chair and vice chair by majority vote of the members present and set a schedule of six (6) regular meetings for the next twelve (12) month period. (5) The board shall adopt a quorum and rules of procedure by administrative regulation. (6) (a) A member of the board who misses three (3) regular meetings in a twelve (12) month period shall be deemed to have resigned from the board and his or her position shall be deemed vacant. (b) The failure of a board member to attend a special or emergency meeting shall not result in any penalty. (c) The Governor shall appoint a person with the same professional qualifications to fill the vacancy within ninety (90) days. (d) The person removed under this subsection shall not be reappointed to the board for at least ten (10) years. (7) Members of the board shall be entitled to reimbursement for actual and necessary expenses when carrying out official duties of the board in accordance with state administrative regulations relating to travel reimbursement. (8) The board shall submit a report to the General Assembly by September 1 of each year. The report shall include but not be limited to: (a) A detailed list of income and expenses of the board; (b) A detailed summary of data collected on the number of complaints against individuals certified or licensed by the board, EMS educators or emergency medical services training programs certified by the board, and emergency medical services training and education institutes approved by the board, and the disposition of those complaints; (c) An accounting of all new administrative regulations and amendments to administrative regulations promulgated by the board; and (d) Recommendations for changes in administrative regulations, board policies, and statutes. Effective: July 15, 2026 History: Amended 2026 Ky. Acts ch. 105, sec. 6, effective July 15, 2026. -- Amended 2022 Ky. Acts ch. 126, sec. 1, effective July 14, 2022. -- Amended 2019 Ky. Acts ch. 100, sec. 2, effective June 27, 2019. -- Amended 2006 Ky. Acts ch. 243, sec. 1, effective July 12, 2006. -- Created 2002 Ky. Acts ch. 211, sec. 2, effective July 15, 2002.

KRS 311A.020 Powers and duties of board -- Executive director and deputy executive director -- Persons employed by board -- Personnel committee -- Proposed biennial budget

311A.020. Powers and duties of board -- Executive director and deputy executive director -- Persons employed by board -- Personnel committee -- Proposed biennial budget (1) The board shall: (a) Exercise all of the administrative functions of the state not regulated by the Board of Medical Licensure or Cabinet for Health and Family Services in the regulation of the emergency medical services system and the practice of emergency medical services, and emergency medical services training and education institutes, with the exception of employment of personnel as described in subsections (5) and (6) of this section; (b) Issue any licenses or certifications authorized by this chapter; (c) Oversee the operations and establish the organizational structure o f the Office of the Kentucky Board of Emergency Medical Services, which is created and shall be attached to the board for administrative purposes. The office shall be headed by the executive director appointed under paragraph (d) of this subsection and shall be responsible for: 1. Personnel and budget matters affecting the board; 2. Fiscal activities of the board, including grant writing and disbursement of funds; 3. Information technology, including the design and maintenance of databases; 4. Certification and recertification of emergency medical responders; 5. Certification and recertification of emergency medical technicians and advanced emergency medical technicians; 6. Licensure and relicensure of ambulances, ambulance services, and mobile integrated healthcare programs; 7. Licensure and relicensure of paramedics; 8. Certification and recertification of advanced practice paramedics; 9. Certification and recertification of EMS educators and emergency medical services training programs; 10. Licensure and relicensure of emergency medical services training and education institutes; 11. Investigation of and resolution of complaints and ethics issues pertaining to professional certifications and licenses; 12. The resolution of complaints and ethics issues pertaining to ambulances, ambulance services, and mobile integrated healthcare programs; and 13. Other responsibilities that may be assigned to the executive director by the board; (d) Employ an executive director and deputy executive director and fix the compensation. The executive director and deputy executive dire ctor shall serve at the pleasure of the board, administer the day -to-day operations of the Office of the Kentucky Board of Emergency Medical Services, and supervise all directives of the board. The director and deputy executive director shall possess a baccalaureate degree and shall have no less than five (5) years of experience in public administration or in the administration of an emergency medical services program; (e) Employ or contract with a physician licensed in Kentucky who is board certified in emergency medicine and fix the compensation. The physician shall serve at the pleasure of the board and as the medical advisor to the Kentucky Board of Emergency Medical Services and the staff of the board; (f) Employ or contract with an attorney licensed to practice law in Kentucky and fix the compensation. The attorney shall serve at the pleasure of the board and have primary assignment to the board. The board and the attorney shall implement and oversee the regulatory process; (g) Employ personnel sufficient to carry out the statutory responsibilities of the board in accordance with the following: 1. Personnel assigned to investigate an emergency medical responder program complaint or regulate the emergency medical responder programs shall be certified emergency medical responders, emergency medical technicians, advanced emergency medical technicians, or licensed paramedics; 2. Personnel assigned to investigate an emergency medical technician program complaint or regulate the emergency medical technician program shall be certified emergency medical technicians, advanced emergency medical technicians, or paramedics; 3. Personnel assigned to investigate an advanced emergency medical technician program complaint or regulate the advanced emergency medical technician program shall be certified advanced emergency medical technicians or paramedics; 4. Personnel assigned to investigate a paramedic program complaint or regulate the paramedic program shall be licensed paramedics; 5. A person who is employed by the board who is licensed or certified by the board shall retain his or her license or certification if he or she meets the in-service training requirements and pays the fees specified by administrative regulation; 6. A person who is employed by the board may instr uct in emergency medical subjects in which he or she is qualified, with the permission of the board. All instruction shall be rendered without remuneration other than his or her state salary and the employee shall be considered as on state duty when teaching; and 7. A person who is employed by the board may render services for which the person is qualified at a declared disaster or emergency or in a situation where trained personnel are not available until those personnel arrive to take over the patient, or where insufficient trained personnel are available to handle a specific emergency medical incident. All aid shall be rendered without remuneration other than the employee's state salary and the employee shall be considered as on state duty when rendering aid. In cases specified in this paragraph, the state medical advisor shall serve as the emergency medical services medical director for the employee; (h) Establish committees and subcommittees and the membership thereof. Members of committees and subcommittees do not need to be members of the board but shall reflect the qualifications of the board members; (i) Enter into contracts, apply for grants and federal funds, and disburse funds to local units of government as approved by the General Assembly. All funds received by the board shall be placed in a trust and agency account in the State Treasury subject to expenditure by the board; (j) Administer the Emergency Medical Services for Children Program; and (k) Establish minimum curriculum and standards for emergency medical services training. (2) The board may utilize materials, services, or facilities as may be made available to it by other state agencies or may contract for materials, services, or facilities. (3) The board may delegate to the executive director, by written order, any function specified in this chapter other than promulgation of an administrative regulation. (4) Except for securing funding for trauma centers, the board shall not serve as the lead agency relating to the development or regulation of trauma systems, but shall be a partner with other state agencies in the development, implementation, and oversight of such systems. (5) The chair of the board shall appoint a personnel committee. The personnel committee shall conduct an annual job performance review of the executive director, the medical advisor, and the board attorney that conforms with the state personnel standards and includes a recommendation for or against continued employment to be presented to the board. (6) The board shall develop a proposed biennial budget for all administrative and operational functions and duties. Effective: July 15, 2026 History: Amended 2026 Ky. Acts ch. 105, sec. 4, effective July 15, 2026. -- Amended 2022 Ky. Acts ch. 126, sec. 2, effective July 14, 2022. -- Amended 2019 Ky. Acts ch. 100, sec. 3, effective June 27, 2019. -- Amended 2006 Ky. Acts ch. 243, sec. 2, effective July 12, 2006. -- Amended 2005 Ky. Acts ch. 99, sec. 593, effective June 20, 2005. -- Created 2002 Ky. Acts ch. 211, sec. 3, effective July 15, 2002. Legislative Research Commission Note (7/12/2006). 2006 Ky. Acts ch. 243, sec. 2, contained a reference to the "Kentucky Community and Technical System" in subsection (8) of this statute. The Reviser of Statutes has corrected that reference to read "Kentucky Community and Technical College System" under the authority of KRS 7.136 in accordance with KRS 164.580, which established the Kentucky Community and Technical College System.

KRS 311A.022 Transfer of employees of the Kentucky Board of Emergency Medical Services under the Community and Technical College System to KRS Chapter 18A personnel system

311A.022. Transfer of employees of the Kentucky Board of Emergency Medical Services under the Community and Technical College System to KRS Chapter 18A personnel system (1) Except for personnel under subsection (2) of this section, personnel employed by the Kentucky Board of Emergency Medical Services under the Kentucky Community and Technical College System shall be transferred to the Kentucky Board of Emergency Medical Services in the KRS Chapter 18A personnel system along with the funding associated with those employees. (2) (a) Personnel employed by the Kentucky Board of Emergency Medical Services under the Kentucky Community and Technical College System who participate in a defined contribution plan that meets the requirements of 26 U.S.C. sec. 403(b) for employees of the Kentucky Community and Technical College System may choose to remain in their present employment and be assigned to the board to continue providing these services or become an employee of the board under the KRS Chapter 18A personnel system. (b) An employee shall make his or her choice under paragraph (a) of this subsection within thirty (30) days following July 14, 2022, and shall have access to counseling by representatives of the KRS Chapter 18A personnel system, the Kentucky Community and Technical College System, and applicable retirement systems concerning the effect the choice of employment would have on the employee. If an employee does not make a choice within thirty (30) days following July 14, 2022, that employee shall be deemed to have chosen to exercise the option to become an employee of the board under the KRS Chapter 18A personnel system. (3) Employees transferred pursuant to subsections (1) and (2) of this section shall retain: (a) Their salaries and leave time balances accumulated as of the transfer date; (b) For purposes of determining leave time accumulation, the date of initial employment with a state agency or a postsecondary educational institution, whichever is earlier; and (c) For purposes of calculating retirement and retiree health benefits and contributions, the earlier of the date of initial participation or membership date, in: 1. A state-administered retirement system if the employee has participated or is participating in the Kentucky Employees Retirement System; or 2. A defined contribution plan that meets requirements of 26 U.S.C. sec. 403(b) for employees of the Kentucky Community and Technical College System. Nothing in this paragraph shall be construed to provide additional service credit for the employee prior to the transfer date other than what has been credited to the appropriate retirement system. (4) All existing state general fund moneys appropriated to the board, all federal funds, all moneys collected by the board, all equipment owned by the board, and instructional supplies, equipment, funds, and records of the Kentucky Community and Technical College System associated with the Kentucky Board of Emergency Medical Services shall be transferred to the Kentucky Board of Emergency Medical Services in the KRS Chapter 18A personnel system along with all financial and management oversight responsibility and liability. Effective: July 14, 2022 History: Created 2022 Ky. Acts ch. 126, sec. 14, effective July 14, 2022.

KRS 311A.024 Emergency Medical Services Education Grant Program -- Establishment -- Terms -- Fund -- Board oversight and administration

311A.024. Emergency Medical Services Education Grant Program -- Establishment -- Terms -- Fund -- Board oversight and administration (1) There is hereby established an Emergency Medical Services Education Grant Program overseen by the board to increase the number of persons seeking paramedic initial certification, provide more facilities for certification, and encourage persons to be employed by Class I ground ambulance providers located in Kentucky. The program shall consist of three (3) componen ts: (a) Student tuition support; (b) Agency support; and (c) Emergency medical services training program support. (2) The student tuition support component shall be used for the training and education of individuals seeking initial paramedic certification under this chapter who are employed by a Class I ground ambulance provider. The tuition support shall be paid periodically to the emergency medical services training and education institute or other operator of an emergency medical services training progra m in which the person is enrolled seeking paramedic certification. The board shall, at a minimum, promulgate administrative regulations on the following aspects of this component: (a) Time limits for the individual seeking initial paramedic certification t o complete certification and begin or continue service with a Class I ground ambulance provider; (b) Minimum service length requirements that may be imposed by the board, by contract, or both, on the individual seeking initial paramedic certification; (c) Uses of the funds, including but not limited to a prohibition against spending funds on prerequisite courses not included in the core course content of the paramedic certification program; (d) Providing priority consideration for geographic areas that ar e underserved in terms of paramedic coverage, including those with lower populations and higher emergency medical response times, and for agencies that do not meet national standards of minimum staffing levels or response times for the dispatch of emergenc y medical care; and (e) Any other aspect necessary to implement the student tuition support component. (3) The agency support component shall be used to reimburse Class I ground ambulance providers the wages paid to an employee while the employee seeks initial paramedic certification. The board shall, at a minimum, promulgate administrative regulations on the f ollowing aspects of this component: (a) Maximum reimbursement for each employee of a Class I ground ambulance provider seeking initial paramedic certification; (b) Maximum number of employees eligible for wage reimbursement within each Class I ground ambul ance provider; and (c) Any other aspect necessary to implement the agency support component. (4) The emergency medical services training program support component shall be used to provide funding to existing and start -up emergency medical service training programs that are certified or seeking certification by the board and that offer or will offer initial education courses for emergency medical technician, advanced emergency medical technician, and paramedic programs. The board shall, at a minimum, promulgate administrative regulations on the following aspects of this component: (a) Grant ceilings per applicant; (b) Applicant qualification priorities, including but not limited to those that are nonprofit entities operating under KRS Chapter 273 and those that are serving or plan to serve areas in need of improved emergency medical service coverage; (c) Time limits for commencing the classes or programs for which the grant was sought; (d) 1. Eligible costs, which shall include but not be limited to: a. Computer and computer-related equipment and software; b. Medical and training equipment, such as cardiac monitors, defibrillators, mannequins, and other medical equipment, personal protective gear, and durable emergency medical and trauma education simulation equipment; c. Personnel costs used in directly delivering the education program; and d. Services used in operating the program; and 2. Ineligible costs, which shall include but not be limited to: a. Real property purchases or improvements; b. Building construction, renovation, or maintenance; c. Personnel costs not directly related to delivering the education program, such as that related to educator training, including travel and meals, and perquisites that are part of a compensation package; d. Lobbying; and e. Uniforms and clothing; and (e) Any other aspect necessary to implement the emergency medical services training program support component. (5) (a) There is established in the State Treasury a trust and agency account to be known as the emergency medical services education grant fund. (b) The fund shall be administered by the Kentucky Board of Emergency Medical Services. (c) The fund shall consist of state appropriations, contributions, donations, and gifts. (d) Amounts deposited in the fund shall be u sed for the purposes outlined under this section. (e) Notwithstanding KRS 45.229, fund amounts not expended at the close of a fiscal year shall not lapse but shall remain in the fund. (f) Moneys deposited in the fund are hereby appropriated for the purposes set forth in this section. (6) The board shall administer the Emergency Medical Services Education Grant Program. The board may cease any or all components of the program once the desired goals have been achieved in the judgement of the board. The board shall provide staffing for the program and may use mon eys in the emergency medical services education grant fund to do so. Staffing and administrative costs shall not exceed five percent (5%) of the fund amount. The board may promulgate any administrative regulations necessary, in addition to those listed in subsections (2) to (4) of this section, for its implementation and operation. Effective: July 15, 2026 History: Amended 2026 Ky. Acts ch. 105, sec. 7, effective July 15, 2026. -- Created 2024 Ky. Acts ch. 217, sec. 1, effective July 15, 2024.

KRS 311A.025 Levels of certification or licensure -- Administrative regulations -- Emergency services medical director

311A.025. Levels of certification or licensure -- Administrative regulations -- Emergency services medical director (1) The board shall, subject to the provisions of this chapter, create levels of certification or licensure, as appropriate for providing services under this chapter. These may consist of but not be limited to: (a) Emergency medical services educator, Level I, II, and III; (b) Emergency medical responder; (c) Emergency medical technician and advanced emergency medical technician; (d) Paramedic, advanced practice paramedic, and paramedic preceptor; (e) Emergency medical services medical director who supervises a person or organization licensed or certified by the board; (f) Mobile integrated healthcare program medical director who su pervises an MIH program licensed by the board; (g) Emergency medical services training program; (h) Emergency medical services testing agency; (i) Ground ambulance service, including categories thereof; (j) Air ambulance service; (k) Medical first response provider; (l) Emergency medical dispatcher, emergency medical dispatch instructor, and emergency medical dispatch instructor trainer; (m) Emergency medical dispatch center or public safety answering point; (n) Emergency medical services training and education institute; and (o) Any other entity authorized by this chapter. (2) The board shall promulgate administrative regulations in accordance with KRS Chapter 13A for any certification or license the board may create. The administrative regulations shall, at a minimum, address: (a) Requirements for students, if appropriate; (b) Requirements for training; (c) Eligibility for certification or licensure; and (d) Renewal, recertification, and relicensure requirements. (3) The board may authorize a physician licensed to practice in Kentucky to serve as an emergency medical services medical director if that physician meets the requirements specified by the board by administrative regulation. (4) A hospital that owns an ambulance service that i s exempt from certificate of need pursuant to KRS 216B.020(7) may provide transport services from another health facility to its hospital if authorized by the ambulance service provider with jurisdiction in the territory in which the other health facility is located. Effective: July 15, 2026 History: Amended 2026 Ky. Acts ch. 105, sec. 8, effective July 15, 2026. -- Amended 2022 Ky. Acts ch. 126, sec. 3, effective July 14, 2022. -- Amended 2019 Ky. Acts ch. 100, sec. 4, effective June 27, 2019. -- Created 2002 Ky. Acts ch. 211, sec. 4, effective July 15, 2002.

KRS 311A.027 Residence requirement prohibited for response providers and licensed ambulance services -- Response within specified time

311A.027. Residence requirement prohibited for response providers and licensed ambulance services -- Response within specified time (1) No public agency, tax district, or other publicly funded emergency medical service first response provider or licensed ambulance service shall have a residence requirement for an employee of or volunteer for the organization. (2) The provisions of subsection (1) of this section shall not preclude an employer or agency specified in subsection (1) of this section from having a requirement for response to a specified location within a specified time limit for an employee or volunteer who is off duty but who is on call to respond for work. Effective: June 24, 2003 History: Repealed and reenacted 2003 Ky. Acts ch. 150, sec. 5, effective June 24, 2003. -- Created 2002 Ky. Acts ch. 308, sec. 1, effective July 15, 2002. Formerly codified as KRS 311.657.

KRS 311A.030 Administrative regulations relating to ambulance services, mobile integrated healthcare programs, first response providers, emergency medical services training programs, and emergency medical services training and education institutes -- Ground ambulance licensure standards -- Ambulance service licensure application requirements -- Emergency medical services and

311A.030. Administrative regulations relating to ambulance services, mobile integrated healthcare programs, first response providers, emergency medical services training programs, and emergency medical services training and education institutes -- Ground ambulance licensure standards -- Ambulance service licensure application requirements -- Emergency medical services and education institutes licensure standards. (1) The board shall promulgate administrative regulations in accordance with KRS Chapter 13A to carry out the functions of this chapter, including but not limited to: (a) Classifying, licensing, inspecting, and regulating ambulance services, mobile integrated healthcare programs, and medical first response providers; (b) Certifying and recertifying EMS educators and emergency medical services training programs; and (c) Licensing, inspecting, and regulating emergency medical services training and education institutes. (2) The licensure standards for ground ambulance providers shall dist inguish between an ambulance service that provides only emergency transportation, only scheduled ambulance transportation, or both types of transportation. (3) (a) The board shall not require an ambulance service to apply for licensure within a specified time period following the issuance of a certificate of need by the Cabinet for Health and Family Services. (b) The board may promulgate an administrative regulation in accordance with KRS Chapter 13A to require an ambulance service to submit application progress reports on a six (6) month or annual basis following the issuance of a certificate of need by the Cabinet for Health and Family Services until the licensure application is submitted. (c) An ambulance service that was issued a certificate of need on o r after July 14, 2022, shall be eligible to apply for licensure from the board without obtaining a new certificate of need from the Cabinet for Health and Family Services. (4) The licensure standards for emergency medical services training and education institutes shall: (a) Require reasonable measures to protect consumers against: 1. Instances of insolvency or other inability to permit consumers to complete the required training or education at the emergency medical services training and education institute; and 2. The loss of educational records upon the closure of an emergency medical services training and education institute; and (b) Include measures and standards to ensure a ccountability of the emergency medical services training and education institute to the board and to its consumers. Effective: July 15, 2026 History: Amended 2026 Ky. Acts ch. 105, sec. 5, effective July 15, 2026. -- Amended 2025 Ky. Acts ch. 150, sec. 4, effective June 27, 2025. -- Amended 2024 Ky. Acts ch. 94, sec. 1, effective April 5, 2024. -- Amended 2022 Ky. Acts ch. 126, sec. 4, effective July 14, 2022. -- Amended 2019 Ky. Acts ch. 100, sec. 5, effective June 27, 2019. -- Created 2002 Ky. Acts ch. 211, sec. 5, effective July 15, 2002.

KRS 311A.032 Posting of fee schedules of licensed ambulance providers -- Report -- Modification -- Penalty -- Administrative regulations

311A.032. Posting of fee schedules of licensed ambulance providers -- Report -- Modification -- Penalty -- Administrative regulations (1) Each licensed ambulance provider, as defined in KRS 311A.010, shall: (a) Post in a conspicuous area of the main office, any satellite location, and on the company Web site, if the company hosts or otherwise maintains a Web site itself or through contract with another party, a comprehensive fee schedule of all services provided that is consistent with the Healthcare Common Procedure Coding System (HCPCS). The fee schedule shall: 1. Clearly identify fees for services including base rates, mileage, disposable supply fees, and any other potential fees for services provided; and 2. Be documented in understandable language with sufficient explanation to allow consumers to draw meaningful comparisons of fees among licensed ambulance providers; (b) Provide a copy of this fee schedule to a beneficiary at the time of service upon request; (c) Update fee schedules within fifteen (15) calendar days of any modification; and (d) Submit a report of an initial ambulance provider fee schedule and any subsequent modifications to the Kentucky Board of Emergency Medical Services. The report shall be subject to open records requests under KRS 61.870 to 61.884. (2) The Kentucky Board of Emergency Medical Services shall: (a) Assess a licensed ambulance provider a monetary penalty of one hundred fifty dollars ($150) per occurrence for failure to post or update a modified fee schedule as required under subsection (1) of this section; and (b) Issue a statement of violation consistent with administrative regulations promulgated by the Kentucky Board of Emergency Medical Services. (3) The Kentucky Board of Emergency Medical Services shall promulgate administrative regulations to implement the provisions of this section. Effective: July 14, 2018 History: Created 2018 Ky. Acts ch. 79, sec. 1, effective July 14, 2018.

KRS 311A.035 Functions of chapter to be carried out by board

311A.035. Functions of chapter to be carried out by board The board shall carry out the functions of this chapter, including but not limited to: (1) Establishing minimum data reporting requirements, including requirements specifically related to emergency medical services and trauma care of children, for ambulance providers and collection and analysis of data related to the provision of emergency medical services; (2) Maintaining the Emergency Medical Services for Children Program with federal funds so designated plus any additional funds that may be appropriated by the General Assembly, or any other funds that may become available to the board, including gifts, grants, or other sources; (3) Developing a statewide plan for the implementation of emergency medical services systems within the Commonwealth of Kentucky that specifically addresses the unique needs of rural areas; (4) Applying for, receiving, and disposing of federal, state, or private funds by grant, appropriation, donation, or otherwise for emergency medical services programs, personnel, and equipment; and (5) Developing, monitoring, and encouraging other projects and programs that may be of benefit to emergency medical services in the Commonwealth. Effective: July 14, 2022 History: Amended 2022 Ky. Acts ch. 126, sec. 5, effective July 14, 2022. -- Created 2002 Ky. Acts ch. 211, sec. 6, effective July 15, 2002.

KRS 311A.040 Advisory opinions

311A.040. Advisory opinions (1) The board may, on petition by an interested party, issue an advisory opinion relating to the applicability to any person, property, or state of facts of a statute in this chapter, administrative regulation promulgated by the board, decision, order, or other written statement of law or policy within the jurisdiction of the board. (2) An advisory opinion shall be binding on the board and all parties to the proceeding on the statement of facts alleged. (3) The board may not retroactively change an advisory opinion, but nothing in this section shall prevent the board from prospectively changing an advisory opinion. (4) The board shall promulgate an administrative regulation in accordance with KRS Chapter 13A on procedures for submission, consideration, reconsideration, and disposition of a petition for an advisory opinion. (5) An advisory opinion of the board may be appealed to the Franklin Circuit Court within thirty (30) days of the date of the advisory opinion by the board. (6) Each advisory opinion shall be a public record and shall be published in the manner specified by the board. (7) When the board supersedes, vacates, modifies, or repeals a previous advisory opinion the new opinion shall specify each previous opinion affected. Effective: June 27, 2019 History: Amended 2019 Ky. Acts ch. 100, sec. 6, effective June 27, 2019. -- Created 2002 Ky. Acts ch. 211, sec. 7, effective July 15, 2002.

KRS 311A.045 Coordinator and other positions -- Emergency Medical Services for Children Program -- Funds received by program

311A.045. Coordinator and other positions -- Emergency Medical Services for Children Program -- Funds received by program (1) The board may employ or contract with a coordinator and other positions who shall serve at the pleasure of the board for the Emergency Medical Services for Children Program for which funding is provided by the General Assembly or through any other sources, including gifts, grants, or federal funds. (2) The coordinator shall, subject to the direction of the board: (a) Implement and oversee the Emergency Medical Services for Children Program described in this section; and (b) Serve as liaison for collaboration and coordination between the Emergency Medical Services for Children Program, the board and other public and private organizations, the state traffic safety office, the maternal and child health program, the Medicaid department, the state and local child fatality review and response teams, state and local professional organizations, private sector voluntary organizations, and consumer and community representatives. (3) The Emergency Medical Services for Children Program may include but not be limited to the establishment of the following: (a) Guidelines for necessary out-of-hospital medical service equipment; (b) Guidelines and protocols for out-of-hospital pediatric emergency medical services; (c) Assistance in the development and provision of professional education programs for emergency medical services personnel for the provision of emergency care of infants and children; (d) Coordination and cooperation between the Emergency Medical Services for Children Program and other public and private organizations interested or involved in emergency care for children, including those persons and organizations identified in subsection (2)(b) of this section; and (e) Assistance with the purchase of equipment for the provision of medical services for children only. The scope of activities carried out by and the provision of staff for the Emergency Medical Services for Children Program shall be commensurate with the availability of funds. (4) Funds received under this section may be distributed based upon a matching grant system to be developed by the board, and distribution shall be need-based. No single grant shall exceed two thousand dollars ($2,000) to the same grantee. (5) Funds received by the Emergency Medical Services for Children Program shall be placed in a trust and agency account in the state treasury which shall not lapse unless grant provisions specify otherwise. No funds shall be expended from a grant except by vote of the board. Effective: June 24, 2003 History: Amended 2003 Ky. Acts ch. 69, sec. 2, effective June 24, 2003. -- Created 2002 Ky. Acts ch. 211, sec. 8, effective July 15, 2002.

KRS 311A.050 Restrictions on persons and programs not licensed or certified -- Activities prohibited to persons licensed or certified -- Reporting of prohibited activities -- Penalties and disciplinary action

311A.050. Restrictions on persons and programs not licensed or certified -- Activities prohibited to persons licensed or certified -- Reporting of prohibited activities -- Penalties and disciplinary action (1) A person shall not: (a) Call or hold himself or herself out as or use the title of emergency medical technician, advanced emergency medical technician, emergency medical responder, paramedic, advanced practice paramedic, emergency medical services educator, paramedic course coordinator, emerge ncy medical services medical director, mobile integrated healthcare program medical director, or any other member of emergency medical services personnel unless licensed or certified under the provisions of this chapter. The provisions of this paragraph shall not apply if the board does not license or certify a person as an instructor in a particular discipline regulated by the board; (b) Operate or offer to operate or represent or advertise the operation of a school or other educational program for emergency medical services personnel unless the school or educational program has been approved and licensed under the provisions of this chapter. The provisions of this paragraph shall not apply to continuing education provided by a licensed ambulance service for anyone certified or licensed by the board given by an ambulance service for its employees or volunteers; or (c) Knowingly employ emergency medical services personnel unless that person is licensed or certified under the provisions of this chapter. (2) A person who is licensed or certified by the board or an applicant for licensure or certification by the board shall not: (a) If licensed or certified, violate any provision of this chapter or any administrative regulation promulgated by the board; (b) Use fraud or deceit in obtaining or attempting to obtain a license or certification from the board, or be granted a license upon mistake of a material fact; (c) If licensed or certified by the board, grossly negligently or willfully act in a manner inconsistent with the practice of the discipline for which the person is certified or licensed; (d) Be unfit or incompetent to practice a discipline regulated by the board by reason of negligence or other causes; (e) Abuse, misuse, or misappropriate any drugs placed i n the custody of the licensee or certified person for administration, or for use of others; (f) Falsify or fail to make essential entries on essential records; (g) Be convicted of a misdemeanor which involved acts that bear directly on the qualifications or ability of the applicant, licensee, or certified person to practice the discipline for which the person is an applicant, licensee, or certified person, if in accordance with KRS Chapter 335B; (h) Be convicted of a misdemeanor which involved fraud, deceit, breach of trust, or physical harm or endangerment to self or others, acts that bear directly on the qualifications or ability of the applicant, licensee, or certificate holder to practice acts in the license or certification held or sought, if in accordance with KRS Chapter 335B; (i) Be convicted of a misdemeanor offense under KRS Chapter 510 involving a patient or be found by the board to have had sexual contact as defined in KRS 510.010 with a patient while the patient was under the care of the licensee or certificate holder; (j) Have had his or her license or credential to practice as a nurse or physician denied, limited, suspended, probated, revoked, or otherwise disciplined in Kentucky or in another jurisdiction on grounds sufficient to cause a license to be denied, limited, suspended, probated, revoked, or otherwise disciplined in this Commonwealth; (k) Have a license or certification to practice in any activity regulated by the board denied, limited, suspended, probated, revoked, or otherwise disciplined in another jurisdiction on grounds sufficient to cause a license or certification to be denied, limited, suspended, probated, revoked, or otherwise disciplined in this Commonwealth; (l) Violate any lawful order or directive previously entered by the board; (m) Have been listed on the nurse aide abuse registry with a substantiated finding of abuse, neglect, or misappropriation of property; or (n) Be convicted of, have entered a guilty plea to, or have entered an Alford plea to a felony offense, if in accordance with KRS Chapter 335B. (3) It shall be unlawful for an employer of a person licensed or certified by the board having knowledge of the facts to refrain from reporting to the board on an official complaint form approved by the board through administrative regulation any person licensed or certified by the board who: (a) Has been convicted of, has entered a guilty plea to, or has entered an Alford plea to a felony offense; (b) Has been convicted of a misdemeanor or felony which involved acts that bear directly on the qualifications or ability of the applicant, licensee, or certified person to practice the discipline for which they are an applicant, licensee, or certified person; (c) Is reasonably suspected of fraud or deceit in procuring or attempting to procure a license or certification from the board; (d) Is reasonably suspected of grossly negligently or willfully acting in a manner inconsistent with the practice of the discipline for which they are certified or licensed; (e) Is reasonably suspected of being unfit or incompetent to practice a discipline regulated by the board by reason of negligence or other causes, including but not limited to being unable to practice the discipline for which they are licensed or certified with reasonable skill or safety; (f) Is reasonably suspected of violating any provisions of this chapter or the administrative regulations promulgated under this chapter; (g) Has a license or certification to practice an activity regulated by the board denied, limited, suspended, probated, revoked, or otherwise disciplined in another jurisdiction on grounds sufficient to cause a license or certification to be denied, limited, suspended, probated, revoked, or otherwise disciplined in this Commonwealth; (h) Is practicing an activity regulated by the board without a current active license or certification issued by the board; (i) Is reasonably suspected of abusing, misusing, or misappropriating any drugs placed in the custody of the licensee or certified person for administration or for use of others; or (j) Is suspected of falsifying or in a grossly negligent manner making incorrect entries or failing to make essential entries on essential records. (4) A person who violates subsection (1)(a), (b), or (c) of this section shall be guilty of a Class A misdemeanor for the first offense and a Class D felony for each subsequent offense. (5) This section shall not preclude prosecution for the unlawful practice of medicine, nursing, or other practice certified or licensed by an agency of the Commonwealth. (6) The filing of criminal charges or a criminal conviction for violation of the provisions of this chapter or the administrative regulations promulgated under this chapter shall not preclude the office of the board from instituting or imposing board disciplinary action authorized by this chapter against any person or organization violating this chapter or the administrative regulations promulgated under this chapter. (7) The institution or imposition of disciplinary action by the office of the board against any person or organization violating the provisions of this chapter or the administrative regulations promulgated under this chapter shall not preclude the filing of criminal charges against or a criminal conviction of any person or organization for violation of the provisions of this chapter or the administrative regulations promulgated under this chapter. Effective: July 15, 2026 History: Amended 2026 Ky. Acts ch. 65, sec. 6, effective July 15, 2026. -- Amended 2019 Ky. Acts ch. 100, sec. 7, effective June 27, 2019. -- Amended 2017 Ky. Acts ch. 158, sec. 54, effective June 29, 2017. -- Amended 2006 Ky. Acts ch. 243, sec. 3, effective July 12, 2006. -- Created 2002 Ky. Acts ch. 211, sec. 9, effective July 15, 2002.

KRS 311A.055 Complaint of violation of chapter -- Investigation -- Transfer of ambulance service complaints and investigations -- Notification -- Preliminary inquiry board -- Hearing -- Order -- Appeal -- Discipline -- Sexual contact with patient -- Confidentiality

311A.055. Complaint of violation of chapter -- Investigation -- Transfer of ambulance service complaints and investigations -- Notification -- Preliminary inquiry board -- Hearing -- Order -- Appeal -- Discipline -- Sexual contact with patient -- Confidentiality (1) In accordance with the provisions of KRS Chapter 13B, all discipline for which the board is authorized to conduct investigations, hold hearings, and impose punishments is delegated to the executive director, state medical advisor, board attorney, and hearing panels as provided herein, except that investigations and hearings for ambulance services licensed under KRS 311A.030 shall be conducted by the Cabinet for Health and Family Services in accordance with KRS 216B.106. The board shall immediately transfer all complaints submitted regarding ambulance services licensed under KRS 311A.030 to the cabinet and the cabinet shall submit findings and recommendations to the board for all complaints submitted by the board. (2) Any person may make a complaint to the executive director that an entity licensed or certified by the board, emergency medical services personnel, or any other person licensed or certified by the board has violated a provision of this chapter, an administrative regulation promulgated pursuant to this chapter, protocol, practice standard, or order of the board. (3) Each complaint shall: (a) Be made by telephone or in writing and may be submitted electronically, by facsimile, or by mail; (b) Identify specifically the person or organization against whom the complaint is made; (c) Set forth the facts relating to the violation alleged and any other supporting information that may have a bearing on the matter; and (d) Contain the name, address and zip code, day and work telephone numbers, facsimile number if appropriate, e-mail address, if available, and the nature of the complainant's relationship to the licensee. (4) The executive director of the board may, on behalf of the board, based on knowledge available to the office of the board, make a complaint against any person or organization regulated by the board in the same manner as provided in subsection (3) of this section. (5) (a) Except as provided by paragraph (b) of this subsection, upon receipt of a complaint, the executive director shall assign the complaint to a staff investigator who shall investigate the complaint and shall make findings of fact and recommendations to the executive director who shall then convene a preliminary inquiry board. (b) If the complaint is pertaining to ambulance services licensed under KRS 311A.030, the executive director shall transfer the complaint to the Cabinet for Health and Family Services, in accordance with KRS 216B.106. (6) When the executive director assigns a complaint to a staff investigator, he or she shall notify the person or organization against whom the complaint has been filed, the employer of the emergency services personnel against whom the complaint has been filed, the emergency medical services medical director or mobile integrated healthcare program medical director for the organization against whom the complaint has been filed or that employs the emergency medical services personnel against whom the complaint has been filed, and any other person or organization specified in this chapter. (7) The notification shall name the person or organization complained against, the violations alleged, and the facts presented in the complaint and shall notify the person or organization complained against, the employer, and the emergency medical services or the mobile integrated healthcare program medical director of: (a) The fact that the complaint shall be answered, the steps for answering the complaint, and the action to be taken if the complaint is not answered; (b) The time frame and steps in the proceedings of a complaint; (c) The rights of the parties, including the right to counsel; and (d) The right to testify at any hearing. (8) Upon the failure of a license or certificate holder to respond to a written accusation or to request a hearing within twenty (20) days after the sending of the accusation, the accused shall be considered to have admitted the truth of the facts and the circumstances in the allegation and appropriate discipline may be imposed. (9) The preliminary inquiry board shall consist of one (1) member of the board selected by the chair, and two (2) persons representing the same category of certification or licensure as the defendant who are not members of the board appointed by the chairman of the board. (10) After reviewing the complaint and results of any investigation conducted on behalf of the board, the preliminary inquiry board shall consider whether the accusation is sufficient to remand the matter for a hearing as provided in this section and KRS Chapter 13B. A majority vote of the members of the preliminary inquiry board shall be necessary for action to either remand the matter for hearing or dismiss the complaint without hearing. (11) If the preliminary inquiry board dismisses the complaint, all parties notified previously shall be notified of the action. If the preliminary inquiry board remands the matter for a hearing, all parties notified previously shall be notified of the action. (12) Each proceeding to consider the imposition of a penalty that the board is authorized to impose pursuant to this chapter shall be conducted in accordance with KRS Chapter 13B. (13) A hearing panel for purposes of making a decision in any disciplinary matter shall consist of one (1) physician who may be a member of the board or who meets the qualifications of an emergency medical services medical director; one (1) person from the category of persons or organizations of the same class as the defendant; and the hearing officer, who shall not be involved in emergency medical services. (14) The hearing officer may issue subpoenas to compel the attendance of witnesses and the production of documents in the conduct of an investigation. The subpoenas may be enforced by any Circuit Court for contempt. Any order or subpoena of the court requiring the attendance and testimony of witnesses and the production of documentary evidence may be enforced and shall be valid anywhere in this state. (15) At all hearings the board attorney or, on request of the board, the Attorney General of this state or one (1) of the assistant attorneys general designated shall appear and represent the board. (16) The emergency medical services provider or related employer of a person licensed or certified by the board and the emergency medical services medical director of such a person who is the defendant in a hearing shall be parties to the action and may appear and testify in the matter at any deposition or hearing on the matter and may propose conclusions of law, findings of fact, and penalties to the hearing panel. (17) To make a finding or recommend discipline, the two (2) members of the hearing panel who are not the hearing officer shall agree on the finding or discipline. In the event of a tie vote, the hearing officer shall cast the deciding vote. (18) The final order in any disciplinary proceeding shall be prepared by the executive director and sent to all parties in the manner prescribed by law. (19) Any person or entity aggrieved by a final order of the board may appeal to the Franklin Circuit Court in accordance with the provisions of KRS Chapter 13B. (20) The only discipline that the board may impose against an emergency medical services medical director is denial, suspension or withdrawal of the board's approval for that person to serve as an emergency medical services medical director. (21) If the executive director substantiates that sexual contact occurred between a licensee or certificate holder and a patient while the patient was under the care of or in a professional relationship with the licensee or certificate holder, the license or certification may be revoked or suspended with mandatory treatment of the person as prescribed by the executive director. The executive director may require the licensee or certificate holder to pay a specified amount for mental health services for the patient which are needed as a result of the sexual contact. (22) Except as specified in this section, all board proceedings, including the complaint, answer, and other records relating to a disciplinary proceeding, shall be confidential until a final determination is made by the board, except: (a) The board may turn over to the Attorney General, the United States Attorney, Commonwealth's attorney, or county attorney of the jurisdiction in which the offense allegedly occurred, evidence that may be used in criminal proceedings; and (b) If the complainant or alleged violator publicly discloses the existence of a preliminary inquiry, the board may publicly confirm the existence of the inquiry and, in its discretion, make public any documents that were issued to either party. Effective: July 14, 2022 History: Amended 2022 Ky. Acts ch. 126, sec. 6, effective July 14, 2022. -- Amended 2019 Ky. Acts ch. 100, sec. 8, effective June 27, 2019. -- Amended 2006 Ky. Acts ch. 243, sec. 4, effective July 12, 2006. -- Created 2002 Ky. Acts ch. 211, sec. 10, effective July 15, 2002. Legislative Research Commission Note (7/12/2006). In codifying 2006 Ky. Acts ch. 243, sec. 4, the Reviser of Statutes has corrected a manifest clerical or typographical error in subsection (10) of this statute under the authority of KRS 7.136.

KRS 311A.060 Sanctions for violations -- Disciplinary actions -- Criminal charges

311A.060. Sanctions for violations -- Disciplinary actions -- Criminal charges (1) (a) If it is determined that an entity or a member of emergency medical services personnel regulated, licensed, or certified by the board has violated a statute, administrative regulation, protocol, or practice standard relating to serving as an entity or a member of emergency medical services personnel regulated by the board, the office of the board may impose any of the sanctions provided in subsection (2) of this section. Any party to the complaint shall have the right to propose findings of fact and conclusions of law, and to recommend sanctions. (b) For the purposes of this subsection, violation of " a statute, administrative regulation, protocol, or practice standard relating to serving as an entity regulated by the board, a paramedic, first responder, or emergency medical technician" shall include violation of KRS 304.39-215 and conduct that is subject to the penalties under KRS 304.99-060(4) or (5). (2) The office of the board shall require an acceptable plan of correction and may use any one (1) or more of the following sanctions when disciplining emergency medical services personnel or any entity regulated by the board: (a) Private reprimand that shall be shared with each of the paramedic's, emergency medical responder's, advanced emergency medical technician's, or emergency medical technician's emergency medical services or related employer and medical director; (b) Public reprimand; (c) Fines of fifty dollars ($50) to five hundred dollars ($500) for a natural person or fifty dollars ($50) to five thousand dollars ($5,000) for a public agency or business entity; (d) Revocation of certification or licensure; (e) Suspension of certification or licensure until a time certain; (f) Suspension until a certain act or acts are performed; (g) Limitation of practice permanently; (h) Limitation of practice until a time certain; (i) Limitation of practice until a certain act or acts are performed; (j) Repassing a portion of the paramedic, emergency medical responder, advanced emergency medical technician, or emergency medical technician examination; (k) Probation for a specified time; or (l) If it is found that the person who is licensed or certified by the board has been convicted of, pled guilty to, or entered an Alford plea to a felony offense, the license or certification shall be revoked. (3) The filing of criminal charges or a criminal conviction for violation of the provisions of this chapter or the administrative regulations promulgated thereunder shall not preclude the office of the board from instituting or imposing board disciplinary action authorized by this chapter against any person or organization violating this chapter or the administrative regulations promulgated thereunder. (4) The institution or imposition of disciplinary action by the office of the board against any person or organization violating the provisions of this chapter or the administrative regulations promulgated thereunder shall not preclude the filing of criminal charges against or a criminal conviction of any person or organization for violation of the provisions of this chapter or the administrative regulations promulgated thereunder. Effective: June 27, 2019 History: Amended 2019 Ky. Acts ch. 100, sec. 9, effective June 27, 2019; and ch. 143, sec. 8, effective June 27, 2019. -- Amended 2006 Ky. Acts ch. 243, sec. 5, effective July 12, 2006. -- Created 2002 Ky. Acts ch. 211, sec. 11, effective July 15, 2002. Legislative Research Commission Note (6/27/2019). This statute was amended by 2019 Ky. Acts chs. 100 and 143, which do not appear to be in conflict and have been codified together.

KRS 311A.065 Psychological or physical evaluation

311A.065. Psychological or physical evaluation (1) If the office of the board has reasonable cause to believe that any licensee or certificate holder or any applicant for licensure or certification by examination, reinstatement, or change of status is unable to practice with reasonable skill or safety or has abused alcohol or drugs, it may require the person to submit to a mental health, neuropsychological, psychosocial, psychosexual, substance use disorder, or physical evaluation by a licensed or certified practitioner designated by the board. Upon the failure of the person to submit to a mental health, neuropsychological, psychosocial, psychosexual, substance use disorder, or physical evaluation, unless due to circumstances beyond the person's control, the office of the board may initiate an action for immediate temporary suspension pursuant to this chapter or deny the application until the person submits to the required evaluation. The office of the board may issue an immediate and temporary suspension from the time of the evaluation until the hearing. (2) Every licensee or certificate holder or applicant for licensure or certification by examination, reinstatement, or change of status shall be deemed to have given consent to submit to a mental health, neuropsychological, psychosocial, psychosexual, substance use disorder, or physical evaluation when so directed in writing by the board. The direction to submit to an evaluation shall contain the basis of the office of the board's reasonable cause to believe that the person is unable to practice with reasonable skill or safety, or has abused alcohol or drugs. The person shall be deemed to have waived all objections to the admissibility of the examining physician's or psychologist's testimony or evaluation reports on the ground of privileged communication. (3) The licensee or certificate holder or applicant for licensure or certification by examination, reinstatement, or change of status shall bear the cost of any mental health, neuropsychological, psychosocial, psychosexual, substance use disorder, or physical evaluation ordered by the board. Effective: June 27, 2019 History: Amended 2019 Ky. Acts ch. 100, sec. 10, effective June 27, 2019. -- Created 2002 Ky. Acts ch. 211, sec. 12, effective July 15, 2002.

KRS 311A.070 Written notice of complaint or proposed action

311A.070. Written notice of complaint or proposed action (1) When a complaint is filed against an ambulance service, emergency medical services provider, or an emergency medical services training program or an employee or volunteer thereof, or when the office of the board is contemplating action against an ambulance service, emergency medical services provider, or emergency medical services training program or an employee or volunteer thereof, written notice of the complaint or proposed action shall be sent to: (a) The county judge/executive, in the event of a county-operated ambulance service, emergency medical services provider, or training program; (b) The mayor, in the event of a city-operated ambulance service, emergency medical services provider, or training program; (c) The mayor, in the event of an urban-county government-operated ambulance service, emergency medical services provider, or training program; (d) The chairman of the fire protection district, in the event of a fire district- operated ambulance service, emergency medical services provider, or training program; (e) The head of the public agency, in the event of an ambulance service, emergency medical services provider, or training program operated by a public agency other than specified in paragraphs (a) to (d) of this subsection; (f) The president, chancellor, or other officer in charge of an educational institution operated, in the event of an ambulance service or training program; (g) The chief operating officer or president of a nonprofit corporation, corporation for profit, limited liability compan y, or other business entity, in the event of an ambulance service, emergency medical services provider, or training program operated by the business entity; and (h) Both the ambulance service, emergency medical services provider, or training program officials specified in this subsection and the officials of any public agency contracting for services. (2) The notice specified in this section shall be in addition to any notice provided to any other person or organization. Effective: July 15, 2026 History: Amended 2026 Ky. Acts ch. 105, sec. 10, effective July 15, 2026. -- Repealed and reenacted 2010 Ky. Acts ch. 51, sec. 138, effective July 15, 2010. -- Amended 2007 Ky. Acts ch. 137, sec. 138, effective June 26, 2007. -- Created 2002 Ky. Acts ch. 211, sec. 13, effective July 15, 2002. Legislative Research Commission Note (7/15/2010). 2010 Ky. Acts ch. 51, sec. 183, provides, "The specific textual provisions of Sections 1 to 178 of this Act which reflect amendments made to those sectio ns by 2007 Ky. Acts ch. 137 shall be deemed effective as of June 26, 2007, and those provisions are hereby made expressly retroactive to that date, with the remainder of the text of those sections being unaffected by the provisions of this section."

KRS 311A.075 Immediate temporary suspension of license or certification -- Hearing

311A.075. Immediate temporary suspension of license or certification -- Hearing (1) The chair of the board, or his or her designee, in writing, may determine that immediate temporary suspension of a license or certification of a natural person against whom disciplinary action or an investigation is pending is necessary in order to protect the public. If the defendant is employed by an emergency medical services provider, the input of the employer's emergency medical services medical director or mobile integrated healthcare program medical director may be sought with regard to the matter. In the event of an action against an organization, the determination that an immediate temporary suspension is necessary in order to protect the public shall be made by the chair of the board, or his or her designee, in writing. When this action may be necessary, the executive director, in writing, shall issue an emergency order suspending the licensee or certificate holder. Upon appeal of an emergency order, an emergency hearing shall be conducted in accordance with KRS 13B.125. (2) No board member shall be disqualified from serving on a disciplinary action hearing panel for the reason that he or she has previously sat on a preliminary inquiry panel hearing of the same licensee or certification holder. (3) Disciplinary actions in which a license or certification has been temporarily suspended and a hearing shall be held in accordance with KRS 13B.125 within ninety (90) days unless the defendant requests an extension of time. (4) The order of immediate temporary suspension shall remain in effect until either retracted or superseded by final disciplinary action by the office of the board. In cases where disciplinary action is imposed, the office of the board may additionally order that the temporary suspension continue in effect until the later expiration of time permitted for appeal or termination of the appellate process. Effective: June 27, 2019 History: Amended 2019 Ky. Acts ch. 100, sec. 11, effective June 27, 2019. -- Amended 2006 Ky. Acts ch. 243, sec. 6, effective July 12, 2006. -- Created 2002 Ky. Acts ch. 211, sec. 14, effective July 15, 2002.

KRS 311A.080 Persons prohibited from operating ambulance service or first response program -- Penalties

311A.080. Persons prohibited from operating ambulance service or first response program -- Penalties (1) No person as defined in KRS 446.010 who is not licensed to do so, or whose license to do so has been suspended, revoked, or denied, shall operate an ambulance service or advanced life support emergency medical first response program. (2) Any person as defined in KRS 446.010 who violates subsection (1) of this section is guilty of a Class A misdemeanor for the first offense and a Class D felony for each subsequent offense. (3) The provisions of this section shall not preclude the board from revoking or increasing the suspension period of a person operating an ambulance service or advanced life support first response program which has illegally operated while its license is under suspension or has been revoked. (4) The filing of criminal charges or a criminal conviction for violation of the provisions of this chapter or the administrative regulations promulgated thereunder shall not preclude the board from instituting or imposing board disciplinary action authorized by this chapter against any person or organization violating this chapter or the administrative regulations promulgated thereunder. (5) The institution or imposition of disciplinary action by the board against any person or organization violating the provisions of this chapter or the administrative regulations promulgated thereunder shall not preclude the filing of criminal charges against or a criminal conviction of any person or organization for violation of the provisions of this chapter or the administrative regulations promulgated thereunder. Effective: July 15, 2002 History: Created 2002 Ky. Acts ch. 211, sec. 15, effective July 15, 2002.

KRS 311A.085 Notification of disciplinary action taken against business or professional licensee

311A.085. Notification of disciplinary action taken against business or professional licensee Any person licensed or certified by the board shall immediately notify the office of the board in writing if any professional or business license that is issued to the person by any agency of the Commonwealth or any other jurisdiction is surrendered or terminated under threat of disciplinary action or is refused, suspended, or revoked, or if renewal of continuance is denied. Effective: July 15, 2002 History: Created 2002 Ky. Acts ch. 211, sec. 16, effective July 15, 2002.

KRS 311A.090 Notification of criminal conviction

311A.090. Notification of criminal conviction Any person licensed or certified by the board shall, within thirty (30) days of entry of the final judgment, notify the office of the board in writing of any misdemeanor or felony criminal conviction in this Commonwealth or any other jurisdiction. Upon learning of any failure to notify the office of the board under this section, the office of the board may initiate an action for immediate temporary suspension under this chapter until the person submits the required notification. Effective: July 15, 2002 History: Created 2002 Ky. Acts ch. 211, sec. 17, effective July 15, 2002.

KRS 311A.095 Expiration of license and certification -- Renewal -- Lapsed license or certification -- Reinstatement -- Correspondence -- Retention of license or certification

311A.095. Expiration of license and certification -- Renewal -- Lapsed license or certification -- Reinstatement -- Correspondence -- Retention of license or certification (1) A paramedic license, emergency medical responder certification, advanced emergency medical technician certification, or emergency medical technician certification shall: (a) Be valid for a period of two (2) years upon renewal; and (b) Expire on December 31 of the second year from its initial issuance. (2) The license or certification of every person issued under the provisions of this chapter shall be renewed at least biennially except as provided in this section. At least six (6) weeks before the renewal date the office of the board shall send notification correspondence for renewal to every person for whom a license or certification was issued during the current licensure or certification period. The applicant shall complete and submit the application for renewal with the renewal fee prescribed by the board in an administrative regulation before the expiration date of his or her current license or certification. Upon receipt of the application and fee, the board shall verify the accuracy of the application to determine whether the licensee or person seeking certification has met all the requirements as set forth in this chapter and in the administrative regulations promulgated by the board, and, if so, shall issue to the applicant a license or certification to practice or engage in the activity for the ensuing licensure or certification period. Such license or certification shall render the holder a legal practitioner of the practice or activity specified in the license or certification for the period stated on it. The board shall prescribe by administrative regulation the beginning and ending of the licensure or certification period. (3) Any person who is licensed or certified by the board who allows his or her license or certification to lapse by failing to renew the license or certification as provided in this section may be reinstated by the board by meeting the requirements of administrative regulations promulgated by the board. (4) Correspondence regarding renewal of a license or certification shall be sent to the electronic mail address provided by the individual certified or licensed by the board. (5) Any person engaging in any practice or activity regulated by the board during the time his or her license or certification has lapsed shall be considered an illegal practitioner and shall be subject to the penalties provided for violations of this chapter. (6) Failure to receive correspondence for renewal of a license or certification shall not relieve a paramedic, emergency medical responder, advanced emergency medical technician, or emergency medical technician from the duty to renew his or her license or certification prior to December 31 of the year in which the license or certification expires. (7) The duration of any license or certification issued by the board may be limited by disciplinary action of the board. (8) Every license or certification issued by the board shall have the seal of the board affixed. A holder of a license or certification shall retain it in his or her possession and be prepared to exhibit it upon demand by an employer or anyone to whom the holder of the license or certification offers emergency medical services or any board or staff member of the Kentucky Board of Emergency Medical Services. (9) Failure or refusal to produce a license or certification upon demand shall be prima facie evidence that no such license or certification exists. Effective: June 27, 2019 History: Amended 2019 Ky. Acts ch. 100, sec. 12, effective June 27, 2019. -- Created 2002 Ky. Acts ch. 211, sec. 18, effective July 15, 2002.

KRS 311A.100 Criminal background investigation of applicant

311A.100. Criminal background investigation of applicant The board may require a criminal background investigation of an applicant for licensure or certification, including by means of a fingerprint check by the Department of Kentucky State Police or the Federal Bureau of Investigation, or both. Effective: June 26, 2007 History: Amended 2007 Ky. Acts ch. 85, sec. 295, effective June 26, 2007. -- Created 2002 Ky. Acts ch. 211, sec. 19, effective July 15, 2002.

KRS 311A.105 Mailing and electronic mailing address -- Service of notice or orders of board

311A.105. Mailing and electronic mailing address -- Service of notice or orders of board Any person as defined in KRS 446.010 licensed or certified by the board shall maintain a current mailing and electronic mailing address with the office of the board and immediately notify the board in writing of a change of mailing or electronic mailing address. As a condition of holding a license or certification from the board, a licensee or certificate holder is deemed to have consented to service of notice or orders of the board at the mailing address on file with the office of the board, and any notice or order of the board mailed or delivered to the mailing address on file with the board constitutes valid service of the notice or order. Effective: June 27, 2019 History: Amended 2019 Ky. Acts ch. 100, sec. 13, effective June 27, 2019. -- Created 2002 Ky. Acts ch. 211, sec. 20, effective July 15, 2002.

KRS 311A.110 Repealed, 2019

311A.110. Repealed, 2019 Catchline at repeal: Educational course on AIDS for paramedics, first responders, and emergency medical technicians. History: Repealed 2019 Ky. Acts ch. 100, sec. 25, effective June 27, 2019. -- Created 2002 Ky. Acts ch. 211, sec. 21, effective July 15, 2002.

KRS 311A.115 Repealed, 2019

311A.115. Repealed, 2019 Catchline at repeal: Educational course on AIDS for paramedics. History: Repealed 2019 Ky. Acts ch. 100, sec. 25, effective June 27, 2019. -- Amended 2015 Ky. Acts ch. 113, sec. 9, effective June 24, 2015. -- Amended 2005 Ky. Acts ch. 99, sec. 594, effective June 20, 2005. -- Repealed, reenacted, renumbered, and amended 2002 Ky. Acts ch. 211, sec. 45, effective July 15, 2002. -- Amended 1998 Ky. Acts ch. 426, sec. 539, effective July 15, 1998. -- Created 1990 Ky. Acts ch. 443, sec. 60, effective July 13, 1990. Formerly codified as KRS 311.653.

KRS 311A.120 Repealed, 2026

311A.120. Repealed, 2026 Catchline at repeal: Educational course and continuing education -- Administrative regulations. History: Amended 2026 Ky. Acts ch 68, sec. 23, effective July 15, 2026; and repealed 2026 Ky. Acts ch. 105, sec. 16, effective July 15, 2026. -- Amended 2019 Ky. Acts ch. 85, sec. 1, eff ective June 27, 2019; and ch. 100, sec. 14, effective June 27, 2019. - - Amended 2015 Ky. Acts ch. 113, sec. 10, effective June 24, 2015. -- Amended 2010 Ky. Acts ch. 171, sec. 12, effective July 15, 2010. -- Repealed, reenacted, renumbered, and amended 2002 Ky. Acts ch. 211, sec. 46, effective July 15, 2002. -- Repealed, reenacted, and amended 2000 Ky. Acts ch. 343, sec. 10, effective July 14, 2000. -- Created 1990 Ky. Acts ch. 443, sec. 57, effective July 13, 1990. Formerly codified as KRS 311.6531 and 211.967. Legislative Research Commission Note (7/15/2026). Under KRS 446.260, the repeal of this statute in 2026 Ky. Acts ch. 105 prevails over its amendment in 2026 Ky. Acts ch. 68.

KRS 311A.125 Continuing competence -- Education courses

311A.125. Continuing competence -- Education courses (1) For each licensure renewal of a paramedic following the issuance of an initial license or certification by the board, as a prerequisite for license or certification renewal, all individuals licensed under the provisions of this chapter shall be required to document continuing competence during the immediate past licensure or certification period as prescribed in administrative regulations promulgated by the board. (2) The board shall approve providers of emergency medical services education and continuing education. The approval may include recognition of providers approved by national organizations and state boards of emergency medical services with comparable standards. Standards for these approvals shall be set forth by the board in administrative regulations promulgated in accordance with KRS Chapter 13A. The board need not approve continuing education training provided by a licensed ambulance service for anyone certified or licensed by the board. (3) The board shall work cooperatively with professional emergency medical services organizations, approved schools, and other potential sources of continuing education programs to ensure that adequate continuing education offerings are available statewide. The board may enter into contractual agreements to implement the provisions of this section. Effective: June 27, 2019 History: Amended 2019 Ky. Acts ch. 100, sec. 15, effective June 27, 2019. -- Amended 2006 Ky. Acts ch. 243, sec. 7, effective July 12, 2006. -- Created 2002 Ky. Acts ch. 211, sec. 22, effective July 15, 2002.

KRS 311A.127 Repealed, 2019

311A.127. Repealed, 2019 Catchline at repeal: Course for paramedics on recognition and prevention of pediatric abusive head trauma. History: Repealed 2019 Ky. Acts ch. 100, sec. 25, effective June 27, 2019. -- Created 2010 Ky. Acts ch. 171, sec. 13, effective July 15, 2010.

KRS 311A.130 In-service training -- Records -- Penalties -- Board recognition of training

311A.130. In-service training -- Records -- Penalties -- Board recognition of training (1) The conduct of proper in-service training, including but not limited to in-house in- service training, in accordance with the standards specified by this chap ter, administrative regulations, and the standards of relevant United States Department of Transportation curricula shall be that of the provider of the in -service training. (2) If in-service training is conducted by an ambulance service, emergency medical services provider, or emergency medical services training program, the organization, the instructor, and its medical director share responsibility for the provision of training which meets or exceeds the requirements of subsection (1) of this section. (3) Persons and organizations providing in -service training for any emergency medical services personnel shall keep the records required by the board by administrative regulation and shall make them available to a representative of the board upon request. (4) Failure to keep a record required by the board by administrative regulation or required to be kept by statute, falsifying a record, or grossly negligently maintaining a record required to be kept by administrative regulation or statute shall be subject to action by the office of the board. (5) Providing in-service training not meeting or exceeding the requirements specified in subsections (1) and (2) of this section shall be subject to action of the office of the board. (6) Penalties specified in this section shall be in addition to any action which the board may be permitted to take against the license or certification of any person or organization. (7) The board may refuse to recognize any in-service training not conducted in accordance with the provisions of this chapter, United States Department of Transportation curricula, or administrative regulations promulgated pursuant to this chapter. If the board determines that in-service training will not be accepted, the denial of credit shall be extended to all persons who completed that specific in- service training. Effective: July 15, 2026 History: Amended 2026 Ky. Acts ch. 105, sec. 11, effective July 15, 2026. -- Amended 2019 Ky. Acts ch. 100, sec. 16, effective June 27, 2019. -- Created 2002 Ky. Acts ch. 211, sec. 23, effective July 15, 2002.

KRS 311A.135 Paramedics -- Administrative regulations -- Relicensure programs

311A.135. Paramedics -- Administrative regulations -- Relicensure programs (1) The board shall promulgate administrative regulations relating to paramedics. The administrative regulations may include the classification and licensure of paramedics, instructor-trainers, instructors, and students and trainees; examinations; standards of training and experience; curricula standards; administration of drugs and controlled substances by paramedics under the direction or supervision of licensed physicians; issuance and renewal of licenses; and such other administrative regulations as may be necessary for the protection of public health and safety in the delivery of emergency medical services. (2) Relicensure programs shall be organized to include continuing education and in- service training approved by the board. Effective: July 15, 2002 History: Created 2002 Ky. Acts ch. 211, sec. 24, effective July 15, 2002.

KRS 311A.140 Emergency medical technicians -- Administrative regulations -- Renewal of certification and licensure -- Paramedics to be certified as emergency medical technicians

311A.140. Emergency medical technicians -- Administrative regulations -- Renewal of certification and licensure -- Paramedics to be certified as emergency medical technicians (1) The board shall promulgate administrative regulations relating to emergency medical technicians. The administrative regulations may include the classification and certification of emergency medical technicians, instructors, instructor-trainers, and students and trainees; examinations; standards of training and experience; curricula standards; issuance or renewal of certificates; hearing of appeals; and other administrative regulations as may be necessary for the protection of public health and safety in the delivery of emergency medical services. No additional testing or examinations shall be required for recertification, except for proficiency testing of new skills or knowledge, or areas in which there is documented evidence of deterioration of skills. (2) Recertification programs shall be organized to include continuing education and in- service training approved by the board. (3) An applicant for initial certification as an emergency medical responder, emergency medical technician, or advanced emergency medical technician, or licensure as a paramedic, shall be certified using the requirements and testing established by the National Registry of Emergency Medical Technicians or other agent chosen by the board. (4) An applicant for certification renewal as an emergency medical responder, emergency medical technician, or advanced emergency medical technician, or renewal of licensure as a paramedic, shall meet the educational requirements for renewal of the appropriate certification or licensure credential as required by administrative regulations promulgated by the board or the requirements established by the National Registry of Emergency Medical Technicians or other agent chosen by the board in lieu of the standards established by the board. (5) Except as provided in KRS 311A.060, the board shall not require any additional course work, in-service training, testing, or examinations of a person who chooses the National Registry of Emergency Medical Technicians or other agent chosen by the board for certification or recertification as an emergency medical technician. (6) Any person licensed by the board as a paramedic shall be certified as an emergency medical technician by the board. The certification shall be issued without fee, without additional training, in-service training, testing, or examination. The emergency medical technician certification shall be issued and expire at the same time that the paramedic license is issued or expires, and if a paramedic voluntarily gives up his or her license prior to the expiration of his or her paramedic license, his or her emergency medical technician certification shall be unaffected thereby. If a paramedic chooses not to be relicensed as a paramedic but chooses to retain his emergency medical technician certification, the paramedic shall, prior to the expiration of his paramedic license, complete the requirements for recertification as an emergency medical technician utilizing one (1) of the methods provided for in this section. (7) A paramedic whose license as a paramedic or certification as an emergency medical technician is suspended, revoked, or denied by the board shall have the same action taken automatically with regard to his emergency medical technician certification or paramedic license. Effective: June 27, 2019 History: Amended 2019 Ky. Acts ch. 100, sec. 17, effective June 27, 2019. -- Created 2002 Ky. Acts ch. 211, sec. 25, effective July 15, 2002.

KRS 311A.142 Reciprocity for certification or licensure of member of military as emergency medical responder, emergency medical technician, advanced emergency medical technician, or paramedic -- Reciprocity of licensure and certification with another state -- Administrative regulations

311A.142. Reciprocity for certification or licensure of member of military as emergency medical responder, emergency medical technician, advanced emergency medical technician, or paramedic -- Reciprocity of licensure and certification with another state -- Administrative regulations (1) Any member of the United States military who is registered by the National Registry of Emergency Medical Technicians as an emergency medical responder, emergency medical technician, advanced emergency medical technicia n, or paramedic shall be eligible for reciprocity for Kentucky certification or licensure at the same certification or licensure level. (2) Any emergency medical responder, emergency medical technician, advanced emergency medical technician, or paramedic t hat is currently certified or licensed and in good standing with another state may be eligible for reciprocity at the same certification or licensure level in accordance with administrative regulations promulgated in accordance with KRS Chapter 13A. (3) The Kentucky Board of Emergency Medical Services shall promulgate administrative regulations in accordance with KRS Chapter 13A as necessary to implement the provisions of this section. Effective: April 5, 2024 History: Amended 2024 Ky. Acts ch. 94, sec. 2, effective April 5, 2024. -- Amended 2020 Ky. Acts ch. 15, sec. 1, effective July 15, 2020. -- Created 2013 Ky. Acts ch. 32, sec. 154, effective June 25, 2013.

KRS 311A.145 Fees and charges -- Trust and agency fund

311A.145. Fees and charges -- Trust and agency fund (1) The board may, by administrative regulation, prescribe a reasonable schedule of fees and charges for: (a) Examination; (b) Issuance, renewal, and reinstatement of licenses; (c) Issuance, renewal, and reinstatement of certifications; (d) Inspections and reinspections; (e) Applications; and (f) Other services and materials provided by the board. (2) All fees, charges, or other moneys collected or received by the board shall be paid into the State Treasury and credited to a trust and agency fund which shall not lapse, to be used by the board for the carrying out of the provisions of this chapter. Effective: July 15, 2002 History: Created 2002 Ky. Acts ch. 211, sec. 26, effective July 15, 2002.

KRS 311A.150 Privileges and immunities of paramedics and first responders

311A.150. Privileges and immunities of paramedics and first responders A paramedic licensed pursuant to this chapter and a first responder certified pursuant to this chapter shall have the privileges and immunities specified in KRS 411.148, subject to the provisions of that statute. Effective: July 15, 2002 History: Created 2002 Ky. Acts ch. 211, sec. 27, effective July 15, 2002.

KRS 311A.155 Emergency medical services grant program -- Trust and agency account -- Withholding funds for emergency purposes -- Grants to fiscal courts -- Administrative regulations -- Emergency funding

311A.155. Emergency medical services grant program -- Trust and agency account -- Withholding funds for emergency purposes -- Grants to fiscal courts -- Administrative regulations -- Emergency funding (1) There shall be an emergency medical services grant program to provide funding to each county for the direct operation of emergency medical services, including but not limited to purchase or lease of ambulances or equipment. Funds available shall not be used to fund personnel or consultant salaries. (2) Funds appropriated to or received by the emergency medical services grant program shall be placed in a trust and agency account in the State Treasury and shall not lapse. (3) The board shall administer the emergency medical services grant program and may promulgate administrative regulations, which shall include but not be limited to funding criteria necessary for its implementation and operation. (4) Twenty percent (20%) of the funds received each fiscal year for the grant program may be withheld from general distribution and shall be distributed for emergency purposes only. (5) Grants may be made each fiscal year to each county fiscal court determined to be eligible by the board for distribution to public ambulance services operated by or for the county. A county may keep funds appropriated to them for a period of two (2) years, if desired, for expenditure for authorized purposes. At the end of two (2) years from the date of the receipt of the grant, the county shall return any funds remaining unexpended to the emergency medical services grant fund. Each expenditure made by the fiscal court from grant funds provided to the county shall be documented, with appropriate receipts or other documents, and a copy of each receipt or other document shall be provided to the board to verify that the expenditure was proper. The board shall require reimbursement to the emergency medical services fund by the county, with interest at a rate of twenty percent (20%) annually, for any funds expended for an unauthorized purpose. If the county fails or refuses to reimburse the fund, the board shall notify the Attorney General, who shall seek appropriate civil and criminal remedies. (6) The board shall, annually, by January 1, promulgate administrative regulations specifying items of equipment and other authorized expenditures for the upcoming fiscal year. No funds shall be provided to the county until after the start of the fiscal year. (7) The board may, in the event of a documented situation which the board considers to be an emergency and beyond the ability of the county to pay, provide emergency funding to the fiscal court for an ambulance or authorized equipment which has been damaged or destroyed. Normal replacement of an ambulance or equipment shall not be considered an emergency. The amount of funding that may be provided by the board shall not exceed ten thousand dollars ($10,000). Only one (1) emergency funding request shall be granted for any county in each fiscal year. The amount of the emergency grant to the county shall be deducted from the county's grant for the next fiscal year. Effective: July 15, 2002 History: Created 2002 Ky. Acts ch. 211, sec. 28, effective July 15, 2002.

KRS 311A.160 First responders -- Permitted activities -- Reasonable control by employers -- Utilization of first responders in medical care facilities

311A.160. First responders -- Permitted activities -- Reasonable control by employers -- Utilization of first responders in medical care facilities (1) A first responder may, subject to the provisions of this section, perform any procedure: (a) Specified in the most recent curriculum of the United States Department of Transportation training course for first responders; and (b) Any additional procedure authorized by the board by administrative regulation. (2) When there is a change in the United States Department of Transportation curriculum for first responders or the board approves an additional skill or procedure by administrative regulation, no person who was not trained under that curriculum shall perform any activity or procedure authorized by the new curriculum or administrative regulation unless the person has been trained according to the new curriculum or administrative regulation and demonstrates competency in the new knowledge or skill. Competency in a new skill shall be demonstrated through a return demonstration to a competent evaluator. If the board adopts the new procedure or skill, the board shall promulgate an administrative regulation specifying the new procedure, training requirements, examination requirements, and a time period during which the first responder shall successfully complete the new material or lose his or her certification as a first responder. (3) Except as provided in subsection (2) of this section, nothing in this section shall prevent an employer from exercising reasonable fiscal control over the costs of providing emergency medical services to its citizens nor to prevent the employer from exercising any reasonable control over first responders providing emergency medical care on behalf of a licensed entity or other provider. (4) Nothing in this section shall be construed to permit utilization of any certified first responder for the purpose of such individual working with primary responsibility and duties limited to hospitals, physician's offices, clinics, or other definitive care facilities, except as a first responder trainee or as a full-time instructor of first responders. Effective: July 15, 2002 History: Created 2002 Ky. Acts ch. 211, sec. 29, effective July 15, 2002.

KRS 311A.165 Emergency medical technicians -- Permitted activities -- Reasonable control by employers -- Utilization of emergency medical technicians in medical care facilities

311A.165. Emergency medical technicians -- Permitted activities -- Reasonable control by employers -- Utilization of emergency medical technicians in medical care facilities (1) An emergency medical technician may, subject to the provisions of this section, perform any procedure: (a) Specified in the most recent curriculum of the United States Department of Transportation training course for emergency medical technicians; and (b) Any additional procedure authorized by the board by administrative regulation. (2) When there is a change in the United States Department of Transportation curriculum for emergency medical technicians or the board approves an additional skill or procedure by administrative regulation, no person who was not trained under that curriculum or administrative regulation shall perform any activity or procedure in the new curriculum or administrative regulation unless the person has been trained according to the new curriculum or administrative regulation and demonstrates competency in the new knowledge or skill. Competency in a new skill shall be demonstrated through a return demonstration to a competent evaluator. If the board adopts the new procedure or skill, the board shall promulgate an administrative regulation specifying the new procedure, training requirements, examination requirements, and a time period during which the emergency medical technician shall successfully complete the new material or lose his or her certification as an emergency medical technician. (3) Except as provided in subsection (2) of this section, nothing in this section shall prevent an employer from exercising reasonable fiscal control over the costs of providing emergency medical services to its citizens nor prevent the employer from exercising any reasonable control over emergency medical technicians providing emergency medical care upon behalf of the licensed entity or other provider. (4) Nothing in this section shall be construed to permit utilization of a certified emergency medical technician for the purpose of such individual working with primary responsibility and duties limited to hospitals, physician's offices, clinics, or other definitive care facilities, except as an emergency medical technician trainee or a full-time instructor of emergency medical technicians. Effective: July 15, 2002 History: Created 2002 Ky. Acts ch. 211, sec. 30, effective July 15, 2002.

KRS 311A.167 Procedures that an advanced medical technician may perform -- New curriculum or administrative regulation -- Reasonable control by employer -- Construction

311A.167. Procedures that an advanced medical technician may perform -- New curriculum or administrative regulation -- Reasonable control by employer -- Construction (1) An advanced emergency medical technician may, subject to the provisions of this section, perform: (a) Any procedure specified in the most recent curriculum of the United States Department of Transportation training course for advanced emergency medical technicians; and (b) Any additional procedure authorized by the board by administrative regulation. (2) When there is a change in the United States Department of Transportation curriculum for advanced emergency medical technicians or the board approves an additional skill or procedure by administrative regulation, no person who was not trained under that curriculum or administrative regulation shall perform any activity or procedure in the new curriculum or administrative regulation unless the person has been trained according to the new curriculum or administrative regulation and demonstrates competency in the new knowledge or skill. If the board adopts the new procedure or skill, the board shall promulgate an administrative regulation specifying the new procedure, training requirements, examination requirements, and a time period during which the advanced emergency medical technician shall successfully complete the new material or lose his or her certification as an advanced emergency medical technician. (3) Except as provided in subsection (2) of this section, nothing in this section shall prevent an employer from exercising reasonable fiscal control over the costs of providing emergency medical services to its citizens nor prevent the employer from exercising any reasonable control over advanced emergency medical technicians providing emergency medical care upon behalf of the licensed entity or other provider. (4) Nothing in this section shall be construed to permit utilization of a certified advanced emergency medical technician for the purpose of the individual working with primary responsibility and duties limited to hospitals, physician's offices, clinics, or other definitive care facilities, except as an advanced emergency medical technician student. Effective: June 27, 2019 History: Created 2019 Ky. Acts ch. 100, sec. 21, effective June 27, 2019.

KRS 311A.170 Paramedics -- Administrative regulations -- Permitted activities -- Employment by hospitals -- Reasonable control by employers

311A.170. Paramedics -- Administrative regulations -- Permitted activities -- Employment by hospitals -- Reasonable control by employers (1) Subject to the provisions of this section, a paramedic may perform any procedure: (a) Specified in the most recent curriculum of the United States Department of Transportation training course for paramedics; and (b) Any additional procedure specified by the board by administrative regulation. (2) When there is a change in the United States Department of Transportat ion curriculum for paramedics, or the board approves an additional skill or procedure by administrative regulation, or approves a protocol differing from the curriculum or administrative regulations, no person who was not trained under that curriculum or administrative regulation shall perform any activity or procedure in the new curriculum, administrative regulation, or protocol unless the person has been trained according to the new curriculum, administrative regulation, or protocol and demonstrates competency in the new knowledge or skill. Competency in a new skill shall be demonstrated through a return demonstration to a competent evaluator. If the board adopts the new procedure or skill, the board shall promulgate an administrative regulation specifying the new procedure, training requirements, examination requirements, and a time period during which the paramedic shall successfully complete the material or lose his or her license as a paramedic. (3) The board shall promulgate administrative regulations in accordance with KRS Chapter 13A establishing the educational requirements, testing requirements, credentialing, and licensure requirements of advanced practice paramedics. Advanced practice paramedics shall validate competency as prescribed in administrative regulations and be identified as one (1) or more of the following certification levels of advanced practice paramedic: (a) Certified community paramedic; (b) Certified critical care paramedic; (c) Certified flight paramedic; (d) Certified tactical paramedic; or (e) Certified wilderness paramedic. (4) A paramedic may draw blood samples from a criminal defendant upon the request of a peace officer and the consent of the defendant, or without the consent of the defendant upon receipt of a court order requiring the procedure, if the paramedic is authorized to do so by his or her employer. The authorization shall be in writing and may be by general written policy of the employer and the service's medical director. The paramedic who drew the blood sample shall deliver the sample to the peace officer or other person specified by the court in a court order and shall testify in court with regard thereto upon service of a proper subpoena. (5) A paramedic shall be permitted to render services only under the supervision of a certified emergency medical services medi cal director, certified mobile integrated healthcare program medical director, or under the direct supervision of an emergency department medical director. (6) A paramedic holding board certification as a community paramedic may provide mobile integrated healthcare services only as an employee of a mobile integrated healthcare program licensed and authorized in accordance with administrative regulations promulgated by the Kentucky Board of Emergency Medical Services. (7) Any provision of this chapter other than this section relating to the requirement for additional training, requirement for skill examination, or approval of standing orders, protocols, or medical procedures to the contrary notwithstanding, a paramedic may be employed by a hospital to work as a licensed paramedic in the emergency department of the hospital subject to the following conditions: (a) The hospital in collaboration with the medical staff shall provide operating procedures and policies under which the paramedic shall operate consistent with the paramedic's scope of practice; (b) A paramedic shall provide patient care services under the orders of a physician, physician assistant, advanced practice registered nurse, or as delegated by a registered nurse; (c) Subject to the provisions relating to the scope of practice of a paramedic, a hospital may require a paramedic to take additional training on any subject or skill which the paramedic may be required to perform in a hospital and demonstrate competency in the skill or subject to a competent evaluator; and (d) The paramedic does not violate the provisions of KRS 311A.175 or any other statute or administrative regulation relating to a paramedic. No provision of this section shall prevent a paramedic from being employed in any other section of the hospital where the paramedic's job duties do not require certification or licensure by the board and do not otherwise constitute the unlawful practice of medicine. (8) Except as provided in subsection (2) of this section, nothing in this section shall prevent an employer from exercising reasonable fiscal control over the costs of providing medical services to its citizens nor prevent the employer from exercising any reasonable control over paramedics providing care on behalf of the licensed entity. Effective: April 5, 2024 History: Amended 2024 Ky. Acts ch. 94, sec. 7, effective April 5, 2024. -- Amended 2019 Ky. Acts ch. 100, sec. 18, effective June 27, 2019. -- Amended 2010 Ky. Acts ch. 85, sec. 50, effective July 15, 2010. -- Created 2002 Ky. Ac ts ch. 211, sec. 31, effective July 15, 2002.

KRS 311A.172 Repealed, 2026

311A.172. Repealed, 2026 Catchline at repeal: Provision of nonemergency medical transportation services to a resident by a skilled nursing facility or hospital -- Conditions. History: Repealed 2026 Ky. Acts ch. 179, sec. 25, effective April 14, 2026. -- Created 2025 Ky. Acts ch. 85, sec. 2, effective June 27, 2025.

KRS 311A.175 Exceeding scope of practice -- Discipline prohibited for refusal to exceed scope of practice

311A.175. Exceeding scope of practice -- Discipline prohibited for refusal to exceed scope of practice (1) No certified emergency medical responder shall perform any act or procedure which exceeds the scope of practice of an emergency medical responder as specified in this chapter and in administrative regulations promulgated by the board. (2) No emergency medical technician shall perform any act or procedure which exceeds the scope of practice of an emergency medical technician as specified in this chapter and in administrative regulations promulgated by the board. (3) No advanced emergency medical technician shall perform any act or procedure which exceeds the scope of practice of an advanced emergency medical technician as specified in this chapter and in administrative regulations promulgated by the board. (4) No paramedic shall perform any act or procedure which exceeds the scope of practice of a paramedic as specified in this chapter, administrative regulations promulgated by the board, protocol, standing order, or other document approved by the board. (5) A certified emergency responder, emergency medical technician, advanced emergency medical technician, or licensed paramedic is presumed to know the standards of practice for his or her level of certification or licensure. (6) It is the legal duty of an emergency medical responder, emergency medical technician, advanced emergency medical technician, or paramedic to refuse to perform any act or procedure which is beyond the scope of practice for his or her level of certification or licensure regardless of whether that act or procedure is ordered by a physician, physician assistant, medical director, advanced practice registered nurse, registered nurse, or supervisor. (7) No employer or organization for which an emergency medical responder, emergency medical technician, advanced emergency medical technician, or paramedic has volunteered shall reprimand, discipline, or dismiss an emergency medical responder, emergency medical technician, advanced emergency medical technician, or paramedic who has refused to perform an act or procedure which the emergency medical responder, emergency medical technician, advanced emergency medical technician, or paramedic knows is in violation of the provisions of this section. Violation of this section by an employer or by an organization for which an emergency medical responder, emergency medical technician, advanced emergency medical technician, or paramedic has volunteered shall be grounds for a legal action for wrongful discipline or wrongful discharge, as appropriate. (8) The provisions of this section shall not apply to an order to perform an act or procedure: (a) For which a license or certification by the board is not required and which otherwise do not constitute the unlawful practice of medicine; or (b) For which no license or certification is required and does not involve medical care or treatment; or (c) For which a license or certification issued by an agency other than the board is required and the emergency medical responder, emergency medical technician, advanced emergency medical technician, or paramedic holds such a license or certification. Effective: June 27, 2019 History: Amended 2019 Ky. Acts ch. 100, sec. 19, effective June 27, 2019. -- Amended 2010 Ky. Acts ch. 85, sec. 51, effective July 15, 2010. -- Created 2002 Ky. Acts ch. 211, sec. 32, effective July 15, 2002.

KRS 311A.180 Medical control documents -- Review -- Approval -- Appeal -- Schedule for submission and review

311A.180. Medical control documents -- Review -- Approval -- Appeal -- Schedule for submission and review (1) Each emergency medical services medical director for an ambulance service, or other emergency medical services provider, shall submit: (a) His or her protocols, including the pre-hospital care protocols related to the assessment, treatment, and transport of stroke, trauma, cardiac arrest, and heart attack patients; (b) His or her standing orders; and (c) Similar medical control documents to the board for approval prior to placing the document in use. (2) The medical advisor for the board shall review each document submitted to ascertain if it is in accordance with accepted standards of medical care and in accordance with the provisions of this chapter and administrative regulations promulgated thereunder. If the protocol, standing order, or other medical control document clearly violates the accepted standards of medical care, this chapter, or an administrative regulation, the medical advisor shall notify the emergency medical services medical director of the exact violation and recommend a correction thereof. (3) Following review of protocol, standing order, and medical control documents and giving the emergency medical services medical director who submitted the documents an opportunity to review the medical advisor's comments, the medical advisor shall submit the documents together with his or her comments to the board for approval or disapproval. (4) The board shall approve, disapprove, or approve with modifications protocol, standing order, and medical control documents submitted by the emergency medical services medical director at its next regular or special meeting following the submission of the documents. (5) If a protocol, standing order, or other medical control document is disapproved by the board, the emergency medical services medical director who submitted it may appeal the decision to the Franklin Circuit Court. If the decision of the board is appealed to the Franklin Circuit Court, the board shall bear the burden of proving that the protocol, standing order, or other medical control document violates the accepted standards of medical care, or an administrative regulation. (6) The board shall, by administrative regulation, specify a schedule for submission and prompt review and decision making with regard to protocols, standing orders, and medical control documents submitted to the board. Effective: July 14, 2022 History: Amended 2022 Ky. Acts ch. 115, sec. 5, effective July 14, 2022. -- Amended 2015 Ky. Acts ch. 9, sec. 2, effective June 24, 2015. -- Created 2002 Ky. Acts ch. 211, sec. 33, effective July 15, 2002.

KRS 311A.185 Repealed, 2024

311A.185. Repealed, 2024 Catchline at repeal: Determination of death by paramedic -- Notification -- Instruction in making determination -- Administration of life support measures. History: Repealed 2024 Ky. Acts ch. 94, sec. 9, effective April 5, 2024. -- Amended 2018 Ky. Acts ch. 183, sec. 12, effective July 14, 2018. -- Created 2002 Ky. Acts ch. 211, sec. 34, effective July 15, 2002.

KRS 311A.190 Information furnished to board by providers and program -- Patient care record report form -- Annual reports -- Confidentiality -- Report to medical facility, ambulance provider, and patient -- Records -- Disclosure and admissibility of data and records -- Cabinet access to data

311A.190. Information furnished to board by providers and program -- Patient care record report form -- Annual reports -- Confidentiality -- Report to medical facility, ambulance provider, and patient -- Records -- Disclosure and admissibility of data and records -- Cabinet access to data (1) Each licensed ambulance provider, mobile integrated healthcare program, and medical first response provider as defined in this chapter shall collect and provide to the board patient care record data and information required by the board by this chapter and administrative regulation. (2) The board shall develop a patient care record form for the use of each class of ambulance provider, mobile integrated healthcare program, and medical first response provider containing the data required in subsection (1) of this section. An ambulance provider, mobile integrated healthcare program, or medical first response provider may utilize any patient care record form it chooses in lieu of or in addition to the board developed patient care record form. However, the data captured on the patient care record form utilized by the ambulance service, mobile integrated healthcare program, or medical first response provider shall include at least the data that is required by the administrative regulations promulgated pursuant to subsection (1) of this section. (3) An ambulance provider, mobile integrated healthcare program, or medical first response provider shall report the required patient care record data as prescribed through administrative regulations promulgated by the board by transmitting the required data and information to the board in an electronic format. If the board requires the use of a specific electronic format, it shall provide a copy of the file layout requirements, in either written or electronic format, to the licensed ambulance provider or medical first response provider at no charge. (4) The board shall publish a comprehensive annual report reflecting the data collected, injury and illness data, treatment utilized, and other information deemed important by the board. The annual report shall not include patient identifying information or any other information identifying a natural person. A copy of the comprehensive annual report, if issued, shall be forwarded to the Governor and the General Assembly. (5) Ambulance provider, mobile integrated healthcare program and medical first response provider patient care records and the information transmitted electronically to the board shall be confidential and in compliance with HIPAA privacy rules referenced in 45 C.F.R. pt. 164. No person shall make an unauthorized release of information on an ambulance provider, mobile integrated healthcare program, or medical first response provider patient care record. Only the patient or the patient's parent or legal guardian if the patient is a minor, or the patient's legal guardian or person with proper power of attorney if the patient is under legal disability as being incompetent or mentally ill, or a court of competent jurisdiction may authorize the release of information on a patient's care record or the inspection or copying of the patient care record. Any authorization for the release of information or for inspection or copying of a patient care record shall be in writing. (6) An ambulance provider or medical first response provider that collects patient data through electronic means shall have the means of providing a patient care record or summary report that includes all required data elements to the medical care facility. A copy of the medical first response patient care record or summary report of the patient care record and patient information shall be made available to the ambulance service that transports the patient. A copy of the ambulance transportation and medical report forms shall be made available to any medical care facility to which a patient is transported and shall be included in the patient's medical record by that facility. If a patient is not transported to a medical facility, the copy of the patient care record that is to be given to the transporting ambulance provider or medical care facility shall be given to the patient or to the patient's parent or legal guardian upon request. If the ambulance provider, medical facility, patient, or patient's legal guardian refuses delivery of their patient care record or is unavailable to receive the form, that copy of the patient care record shall be returned to the medical first response provider or ambulance provider and destroyed. (7) All ambulance services and mobile integrated healthcare programs shall be required to keep adequate reports and records to be maintained at the ambulance base headquarters and to be available for periodic review as deemed necessary by the board. Required records and reports are as follows: (a) Employee records, including a resume of each employee's training and experience and evidence of current certification or licensure; and (b) Health records of all personnel including records of all illnesses or accidents occurring while on duty. (8) Data and records generated and kept by the board or its contractors regarding the evaluation of emergency medical care, mobile integrated healthcare programs, and trauma care in the Commonwealth, including the identities of patients, emergency medical services personnel, ambulance providers, medical first-response providers, and emergency medical facilities, shall be confidential, shall not be subject to disclosure under KRS 61.805 to 61.850 or KRS 61.870 to 61.884, shall not be admissible in court for any purpose, and shall not be subject to discovery. However, nothing in this section shall limit the discoverability or admissibility of patient medical records regularly and ordinarily kept in the course of a patient's treatment that otherwise would be admissible or discoverable. (9) The Cabinet for Health and Family Services shall have complete and immediate access to all data and records maintained by the board or its contractors and may use information contained in the data and records to fulfill its responsibilities and requirements for health facilities and services, including but not limited to those duties assigned to the cabinet by KRS 194A.101, 216.2920 to 216.2929, and 216B.042. Effective: July 14, 2022 History: Amended 2022 Ky. Acts ch. 126, sec. 7, effective July 14, 2022. -- Amended 2019 Ky. Acts ch. 100, sec. 20, effective June 27, 2019. -- Created 2002 Ky. Acts ch. 211, sec. 36, effective July 15, 2002.

KRS 311A.195 Administration of epinephrine -- Supply of epinephrine and needles -- Medical protocols

311A.195. Administration of epinephrine -- Supply of epinephrine and needles -- Medical protocols (1) Any emergency medical technician and any paramedic shall be authorized to administer epinephrine to any person whom the EMT or paramedic has been called to attend if the EMT or paramedic makes an assessment that the person is exhibiting symptoms consistent with an anaphylactic reaction. The EMT or paramedic shall follow the medical protocol established by the medical director of the employing licensed ambulance service in determining the appropriate dose or doses of epinephrine and the routes for administration. (2) Every ambulance provider in the Commonwealth shall: (a) Maintain an adequate supply of epinephrine and disposable sterile needles and syringes on every ambulance that it operates; and (b) Establish medical protocols to be used by EMT providers and paramedics in determining symptoms of an anaphylactic reaction, the appropriate dose or doses of epinephrine, and the routes for administration. Effective: June 24, 2003 History: Amended 2003 Ky. Acts ch. 69, sec. 7, effective June 24, 2003. -- Created 2002 Ky. Acts ch. 211, sec. 43, effective July 15, 2002.

KRS 311A.200 Limited certification or license issued to felon in correctional institution - - Penalties

311A.200. Limited certification or license issued to felon in correctional institution - - Penalties (1) The provisions of KRS 311A.050 relating to the certification and licensure of a felon as a first responder, emergency medical technician, or paramedic to the contrary notwithstanding, the board may issue a limited certification as a first responder or emergency medical technician or a limited license as a paramedic to a convicted felon who is currently serving a sentence for a felony and is in a facility operated by or under contract to the Department of Corrections. (2) A felon with a limited certification or license shall be limited to performing his or her services only upon other inmates, visitors, or staff of an institution operated by or under contract to the Department of Corrections. (3) Upon release by expiration of sentence, probation, shock probation, parole, or other form of early release or upon the escape of the inmate from confinement the license or certification shall automatically terminate. If the inmate has escaped from confinement he or she shall never be issued a future limited certification or license. (4) All other provisions of this chapter relating to first responders, emergency medical technicians, paramedics, and their employment and supervision shall apply to convicted felons with a limited license or certification. (5) An inmate who violates the provisions of this section shall be guilty of a Class D felony. Effective: July 15, 2002 History: Created 2002 Ky. Acts ch. 211, sec. 44, effective July 15, 2002.

Source: Kentucky Legislative Research Commission (legislature.ky.gov)URL: https://apps.legislature.ky.gov/law/statutes/chapter.aspx?id=38804Fetched: 10/20/2026